Is self-report sleepiness associated with cognitive performance in temporal lobe epilepsy?

ABSTRACT Sleepiness and cognitive impairment are common symptoms observed in patients with epilepsy. We investigate whether self-reported sleepiness is associated with cognitive performance in patients with refractory mesial temporal lobe epilepsy with hippocampal sclerosis (MTLE-HS). Seventy-one consecutive patients with MTLE-HS were evaluated with the Stanford Sleepiness Scale (SSS) before neuropsychological evaluation. Their mean SSS scores were compared with controls. Each cognitive test was compared between patients with (SSS ≥ 3) or without sleepiness (SSS < 3). Imbalances were controlled by regression analysis. Patients reported a significantly higher degree of sleepiness than controls (p < 0.0001). After multiple linear regression analysis, only one test (RAVLT total) remained associated with self-reported sleepiness. Conclusion: Self-reported sleepiness was significantly higher in MTLE-HS patients than controls, but did not affect their cognitive performance. If confirmed in other populations, our results may have implications for decision making about sleepiness screening in neuropsychological settings.

Bibliographic Details

Main Authors:	Vascouto,Helena Dresch, Thais,Maria Emília Rodrigues de Oliveira, Osório,Camila Moreira, Ben,Juliana, Claudino,Lucia Sukys, Hoeller,Alexandre Ademar, Markowitsch,Hans J., Wolf,Peter, Lin,Katia, Walz,Roger
Format:	Digital revista
Language:	English
Published:	Academia Brasileira de Neurologia - ABNEURO 2018
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018000900575
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